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Primary malignant lymphoma of the brain is a disease of unknown etiology, which is increasing in incidence and has an unfavorable prognosis. Despite the lack of specific changes on CT or MRI in most cases, these procedures may typically facilitate the diagnosis: A focal-enhancing mass with subependymal spread on CT or MRI and hyperattenuation on nonenhanced CT are the most reliable features in the diagnosis of primary malignant lymphoma of the brain. Peritumoral edema and mass effect are usually not prominent features. On unenhanced CT scans they usually appear homogeneously isodense to mildly hyperdense relative to the gray matter. On MRI these tumors are slightly hypointense on T1-weighted images and slightly hpyerintense on PD- and T2-weighted images relative to the gray matter. On CT and MRI enhancement is usually homogeneous. Contrast-enhanced MRI, with its multiplanar capability, lack of bone-induced artifacts, and high-contrast resolution, is likely to reveal subependymal spread ...

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Aim: Today, MRI is an integral part of the presurgical evaluation of patients suffering from partial epilepsy. These patients frequently show focal morphological abnormalities with potential epileptogenic character and surgical resection of these lesions is associated with superior postsurgical outcome as to seizure frequency. Apart from easily detectable defects, such as post-traumatic lesions or cerebral infarction, as wide variety of mainly small abnormalities can be detected using MRI. Methods: In this study, 484 patients suffering from partial epilepsy of temporal or frontal onset were evaluated for the incidence of different lesions in this population. Results: All lesions found were included without evaluating their potential epileptogenicity, which remains to be proven using other procedures (EEG, SPECT, PET, etc.). Involvement of the hippocampal formation was a major finding in temporal lobe epilepsy, which could be detected as sclerosis (T2w-images), atrophy (T2w-TSE or ...

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As an alternative to surgery, endovascular therapy with stent grafts has become the second main treatment option for infrarenal abdominal aortic aneurysms. Unlike surgery, endovascular treatment with stent grafts is also applicable in patients unfit for open repair. Despite current improvements in endovascular repair devices, significant anatomic barriers still exclude this technique for a large number of patients. Computed tomography, magnetic resonance imaging, and ultrasound are essential for diagnostics, preintervention planning, and postintervention follow-up of abdominal aneurysms treated with stent grafts. This review covers etiology, pathology, and diagnostic aspects. Materials and methods for endovascular treatment of abdominal aortic aneurysms are presented in detail, and clinical results and complications are discussed. (orig.) [German] Die endovaskulaere Therapie des infrarenalen Bauchaortenaneurysmas hat sich als Alternative zur ...

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Methods: Systemic irradiation of neuroaxis is an essential part in the management of medulloblastoma, stPNET and intracranial germ cell tumors. The introduction of quality assurance programs in radiooncology assures a precise radiotherapy of target volumes and is a prerequisite to improve survival. Results: Hyperfractionated radiotherapy has the potential of increasing dose to tumor more safely without increasing the risk for late adverse effects. Pilot studies revealed excellent tumor control in medulloblastoma with acceptable acute toxicity and a long-term survival of up to 96%. In medulloblastoma stereotactic radiation techniques reveal an acceptable toxicity and promising results in tumor control in recurrent disease or as primary treatment. They are now part of future treatment protocols in case of persisting residual tumor. Radiotherapy alone in pure germinoma is continuously yielding high cure rates. In secreting germ cell tumors cisplatin containing chemotherapies in ...

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Patients with haemarthros of the knee were examined by MRI and arthroscopy to identify the bleeding source and to determine surgical or conservative therapy. A prospective study was performed on 120 patients who underwent MRI and arthroscopy, point lesions and bleeding sources were documented separately on a standardised form. Arthroscopy demonstrated a ruptured anterior cruciate ligament in 86%, meniscal tears in 55%, disruption of collateral ligaments in 17%, osteochondral lesions in 5% and tears of capsule or plicae in 13%. Disruption of cruciate ligaments caused haemorrhage in all but three cases. In contrast, only meniscal tears located very adjacent to the meniscal basement had bled. Those types of osteochondral lesions caused haemorrhage characterised on MRI by destruction of the subchondral plate and overlying cartilage. Severe lesions of the knee were diagnosed by MRI in 71% to 100%, slight lesions in 13% to 40% of the cases. Single, combined and bland ...

Science.gov (United States)

PMID:6840598

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Purpose: To evaluate the success rates of the implantation of stent grafts in the treatment of peripheral aneurysms. Materials and methods: in 13 patients with 15 aneurysms at the common iliac artery (n = 6), external iliac artery (n = 1), hypogastric artery (n = 2), femoral artery (n = 2) or popliteal artery (n = 4), implantation of dacron-covered nitinol stents was performed. The patients were followed up for three to 20 months (mean, 8.8 months) with intravenous digital subtraction angiography, CT or colour-coded Doppler sonography. Results: In all cases, the aneurysm was successfully occluded after stent implantation. In one case with a popliteal aneurysm, kinking of the vessel caused thrombosis of the stent. The stent was successfully reopened. The aneurysm however, had to be surgically treated 9 months later. The primary and secondary patency rates at 6 months were 93% and 100%, respectively. Conclusion: The method described might be an alternative therapy to ...

UK PubMed Central (United Kingdom)

Abstract The authors provide a survey of how images are used in radiation therapy to improve the precision of radiation therapy plans, and delivery of radiation treatment. In contrast...Full Text Available

Science.gov (United States)

... folgen. Die notwendigen Sch~ritte -an isotherme Verh~ltnisce an den, von der Versuchssubstanz benetzten Wandungen, zu ...

KoreaScience (Korea)

Full Text Available

Medline Plus

... Massage therapy can help the body release certain chemicals. These chemicals help us relax, improve blood circulation and get ...

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Purpose: To report on the nephron-sparing, percutaneous ablation of a large renal cell carcinoma by combined superselective embolization and percutaneous radiofrequency ablation. Materials and Methods: A 5 cm renal cell carcinoma of a 43-year-old drug abusing male with serologically proven HIV, hepatitis B and C infection, who refused surgery, was superselectively embolized using microspheres (size: 500 - 700 {mu}m) and a platinum coil under local anesthesia. Percutaneous radiofrequency ablation using a 7F LeVeen probe (size of expanded probe tip: 40 mm) and a 200 Watt generator was performed one day after transcatheter embolization under general anesthesia. Results: The combined treatment resulted in complete destruction of the tumor without relevant damage of the surrounding healthy renal tissue. The patient was discharged 24 hours after RF ablation. No complications like urinary leaks or fistulas were observed and follow up CT one day and 4 weeks after the radiofrequency ...

International Nuclear Information System (INIS)

The incidence of hilar cholangiocarcinoma is very rare worldwide. Radical resection is the only prognostic factor for long survival in patients with hilar cholangiocarcinoma. Postoperative radiation therapy can improve local control and survival rates for patients with palliative resection, but it remains controversial in patients with radical resection. Biliary drainage can effectively release bile duct obstruction for the majority of patients with locally advanced disease, and may even prolong survival when combined with radiation therapy. Radiation therapy includes extrernal beam therapy alone, external beam therapy with intraluminal brachytheapy and new radiation technique, such as three dimentional conformal therapy and intensity modulated radiation therapy. The propective randomized clinical study is needed for further investigation in ...

UK PubMed Central (United Kingdom)

Forty-four patients with histologically proven Hodgkin's disease underwent initial treatment with extended-field radiation therapy. Nineteen of these patients also received combination chemotherapy....Full Text Available

International Nuclear Information System (INIS)

Radionuclide bone metastases therapy is a major achievement of nuclear medicine. Development of less radiotoxic and more effective radiopharmaceuticals is therefore a challenge for radiopharmacists and industry. This paper reviews the application of rhenium-188 HEDP as a reactor- or generator-produced nuclide for bone metastases therapy. (author)

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Short communication

UK PubMed Central (United Kingdom)

The eye is an easily accessible, highly compartmentalised and immune-privileged organ that offers unique advantages as a gene therapy target. Significant advancements have been made in understanding...Full Text Available

UK PubMed Central (United Kingdom)

1 Recommendations for correct therapy with digoxin from twenty-five sources are reviewed. 2 Some recommendations may be unsuitable for use with high bioavailability...Full Text Available

UK PubMed Central (United Kingdom)

PurposeTo evaluate four planning techniques for stereotactic body radiation therapy (SBRT) in lung tumors.Methods...Full Text Available

Science.gov (United States)

PMID:10860471

Science.gov (United States)

PMID:21540757

KoreaScience (Korea)

Full Text Available

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Radiation therapy has shown definite technical improvement due to application of proton beam irradiation. Clinical results of proton beam therapy also suggested enlargement of indication ranges in radial treatment and decrease of post radiation damages of the treatment of cancers in deep-seated organs. Inprovement of result in cancer therapy could be expected by this treatment technique in the future.

Science.gov (United States)

PMID:4447072

Science.gov (United States)

Dyslipidemia

International Science & Technology Center (ISTC)

Creation of Economic Alternative Technologies for Radionuclide Production for Medical Diagnostics and Therapy

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Radiotherapy can be very significant as the treatment for ocular lesions, eyes need to be preserved as properly as possible on their functions and cosmetics. The application of conventional X ray therapy has been gradually abandoned as conventional X ray therapy ceased to be accepted as the general treatment for malignant tumors. Consequently the necessity of electron beam therapy has been rising even as the substituted method for conventional X ray therapy. The department of radiology of Gunma University was obliged to establish a new therapy for ocular lesions, and has been trying electron beam therapy since 1973. It is concluded that electron beam therapy is not at all inferior to conventional X ray therapy as reported above. Basic therapeutic methods for ocular lesions are the following: 1) For epidermoid carcinoma, ...

Energy Technology Data Exchange (ETDEWEB)

The contribution attempts a definition of the concepts of ``technical facilities`` and ``facility management``. [Deutsch] Um mit der Ueberschrift zu beginnen: Was ist Gebaeudetechnik? Die Antwort ist nicht ganz einfach. An der TU Berlin gibt es einen Ingenieur-Studiengang mit dieser Bezeichnung. Es hat etwas mit dem Gebaeude, aber nicht viel mit Architektur zu tun, wie manchmal faelschlich angenommen wird. Um solche Missverstaendnisse gar nicht erst aufkommen zu lassen, hat sich die Gruppe des Vereins Deutscher Ingenieure, die sich mit der Gebaeudetechnik beschaeftigt, als `VDI-Gesellschaft Technische Gebaeudeausruestung` bezeichnet. (orig.)

UK PubMed Central (United Kingdom)

BackgroundIt remains unclear if certain antiretroviral medications, particularly abacavir, compromise response to hepatitis C virus (HCV) therapy. Such data can inform...Full Text Available

Energy Technology Data Exchange (ETDEWEB)

A simple device is described which is used to determine treatment distance and beam direction in electron therapy employing one collimation. A technique for the production of irregular field templates and localization films is given.

UK PubMed Central (United Kingdom)

BackgroundTo assess the relationship between improved regional and global myocardial function in patients with ischemic cardiomyopathy in response to β-blocker therapy or...Full Text Available

UK PubMed Central (United Kingdom)

Epidermal growth factor receptor (EGFR) related therapies – mainly tyrosine kinase inhibitors (TKIs) such as erlotinib and gefitinib, but also monoclonal antibodies targeting EGFR, for example,...Full Text Available

UK PubMed Central (United Kingdom)

BackgroundThe lack of adequate randomized clinical trials (RCT) has hindered identification of new therapies that are safe and effective for patients with primary focal segmental...Full Text Available

UK PubMed Central (United Kingdom)

Photodynamic therapy (PDT) is an established endoscopic technique for ablating Barrett’s esophagus with high-grade dysplasia or early-stage intraepithelial neoplasia. The most common clinically...Full Text Available

UK PubMed Central (United Kingdom)

Several compact proton accelerator systems for use in proton therapy have recently been proposed. Of paramount importance to the development of such an accelerator system is the maximum kinetic energy...Full Text Available

UK PubMed Central (United Kingdom)

BackgroundHerpes simplex virus (HSV) suppressive therapy reduces genital and plasma HIV-1 RNA over periods up to three months but the longer-term effect is unknown.Full Text Available

UK PubMed Central (United Kingdom)

ObjectiveTo evaluate the effect of different concomitant disease modifying antirheumatic drugs (DMARDs) on the persistence with antitumour necrosis factor (anti-TNF) therapies in...Full Text Available

UK PubMed Central (United Kingdom)

Purpose: Understanding the kinetics of tumor growth∕shrinkage represents a critical step in quantitative assessment of therapeutics and realization of adaptive radiation therapy....Full Text Available

UK PubMed Central (United Kingdom)

The heterogeneity of metastatic breast cancer mandates the need to select therapies taking into account tumor and patient characteristics. Chemotherapy is indicated in the palliative setting especially...Full Text Available

UK PubMed Central (United Kingdom)

Multiple disease-specific systematic reviews on the effectiveness of physical therapy intervention for shoulder dysfunction have been inconclusive. To date, there have been two systematic reviews that...Full Text Available

Medline Plus

... and at that point she had already failed physical therapy, which someone else had prescribed, and so ... MRI, we may try a brief course of physical therapy to see if they feel better, but ...

UK PubMed Central (United Kingdom)

ObjectiveTo report the efficacy and safety of combined photodynamic therapy (PDT) and intravitreal bevacizumab (IVB) injection in the treatment of idiopathic polypoidal choroidal...Full Text Available

UK PubMed Central (United Kingdom)

This study was an evaluation of the performance of self-applied, blue light, light-emitting diode therapy in the treatment of mild-to-moderate inflammatory acne on the face, concerning: 1) time to improvement...Full Text Available

UK PubMed Central (United Kingdom)

BackgroundPostnatal glucocorticoid therapy in premature infants diminishes chronic lung disease, but it also increases the risk of hypertension in adulthood. Since glucocorticoid...Full Text Available

UK PubMed Central (United Kingdom)

In many radiotherapy clinics, geometric uncertainties in the delivery of 3D conformal radiation therapy and intensity modulated radiation therapy of the prostate are reduced by aligning the...Full Text Available

Medline Plus

... acquired, which we then volumetrically fuse with the 3D image set from the MR. And by doing ...

Science.gov (United States)

Cervical Cancer; Radiation Toxicity

Science.gov (United States)

PMID:9226309

International Nuclear Information System (INIS)

Japanese Mar 1999 p. 371-372 Japan Shi, Dequan Yamazaki, Takashi

Energy Technology Data Exchange (ETDEWEB)

The proton therapy gives an irradiation adapted to the shape and the depth of tumors ( eyes, head and neck) with a millimetric, even sub millimetric precision for the ophthalmological tumors. It is equally an excellent tool for the pediatrics tumors. For numerous treatments in France the proton therapy is associated to the photons treatments (x radiation). however, others physical treatments could modulate the medical offer, such thermal therapy or treatments by ultrasonic waves. (N.C.)

International Nuclear Information System (INIS)

An electron accelerator unit is described for electron beam therapy, comprising: a source of an electron beam; means for finally directing at least a portion of the beam to a therapy site, the directing means being mechanically independent of, and electrically isolated from, the source, and having a target area; and means for aligning the source with the directing means, the aligning means comprising means for projecting at least one beam of light from the source toward the target area.

Science.gov (United States)

The anesthetic agents methohexital (Brevital), Innovar, and ketamine (Ketaject) were examined for their effect on seizure duration following electroconvulsive stimulation in a rat model of electroconvulsive therapy (ECT). Compared to unanesthetized control animals, methohexital anesthesia shortened seizure duration by 42%, ketamine anesthesia tended to increase seizure duration, and Innovar anesthesia had no effect on duration of seizures. PMID:7349626

British Library Electronic Table of Contents (United Kingdom)

AbstractBackground: So far, infliximab (IFX) therapy for the treatment of Crohn's disease (CD) has generally been guided by clinical symptoms. Data on treatment response as ascertained by endoscopy in IFX therapy are scarce. The aims of this study were to measure the endoscopic response rate during IFX induction and maintenance therapy in luminal CD, and also evaluate the role of endoscopy in monitoring IFX therapy. Methods: Data obtained from 71 patients with active luminal CD and treated with IFX were analyzed retrospectively. The endoscopy findings were scored according to mucosal activity as: 0 (remission), 1-2 (mild), 3-4 (moderate), and 5-6 (severe). A positive endoscopic response was determined by a decrease in score of at least two points and mucosal healing was assigned a score of...

International Nuclear Information System (INIS)

Little clinical evidence has been provided to show the minimization of radiation resistance of tumors using high linear energy transfer radiation. We therefore investigated the radiobiological and molecular pathological aspects of carbon beam therapy. A total of 27 patients with squamous cell carcinoma (SCC) of the cervix were treated using a carbon beam and 50 control patients with SCC of the cervix using a photon beam. The expression of Ki-67, p53, and p27 proteins before radiotherapy and 5 and 15 days after therapy initiation were investigated using immunohistochemistry. Similar changes were observed in Ki-67 labeling index (LI) and p53 LI during carbon and photon beam therapies. However, for carbon beam therapy, the mean p27 LI significantly decreased from 25.2% before treatment to 18.6% on the 5th day after treatment initiation, followed by a significant increase to 36.1% on the 15th day. In ...

International Nuclear Information System (INIS)

Radiation therapy has had a significant and an expanded role in the management of cancer of the pancreas during the last decade. In particular, for locally advanced disease, radiation therapy has improved the median survival of patients to 1 year. Intraoperative electron beam therapy has been applied to unresectable and resectable pancreatic cancer in an attempt to enhance local control of disease and to improve patient survival. This paper presents a survey of the role of radiation therapy in treatment of cancer of the pancreas, provides information on the radiobiological aspects of this treatment modality and details the physical and dosimetric characteristics of intraoperative radiation therapy with electrons. Presented are the design specifics of an applicator system, central axis beam data, applicator parameters, dose distribution data, shielding, treatment planning and means ...

Energy Technology Data Exchange (ETDEWEB)

For the calculation of humidifier systems in supply air systems nomographs and appropriate software are not sufficient alone. System design factors must be considered, also. On the basis of a clear definition interpretation examples are described and remarks for the effective installation of steam distribution systems are given. (orig.) [Deutsch] Es ist nicht zu empfehlen, Befeuchterstrecken bzw. Dampfdiffusionsstrecken ausschliesslich ueber Nomogramme oder ueber eine entsprechende Software auszulegen. Zumindest sollte vorher genauestens geprueft werden, welche Parameter in die Berechnung mit einfliessen. Zur exakten Berechnung der Absorptionsstrecken in Zuluftsystemen muessen auch anlagenspezifische Faktoren beruecksichtigt werden. Die Erfahrung hat jedoch gezeigt, dass dem Begriff `Befeuchterstrecke` zu wenig Aufmerksamkeit gewidmet wird. Hierdurch koennen Fehler entstehen, die nur mit relativ hohem finanziellem Aufwand wieder ...

Energy Technology Data Exchange (ETDEWEB)

Liberalization and the associated necessity of providing, where possible, inexpensive electrical energy, has intensified still further the demand for higher efficiency steam turbines. Accordingly, continuous efforts are being taken to improve all the flow guiding components of a steam turbine. Special attention is given here to the blading. (orig.) [Deutsch] Die Liberalisierung und die damit verbundene Notwendigkeit, elektrische Energie moeglichst preisguenstig zur Verfuegung zu stellen, hat die Forderung nach hohen Wirkungsgraden von Dampfturbinen weiter verschaerft. Es werden daher kontinuierlich Anstrengungen unternommen, alle stroemungsfuehrenden Teile einer Dampfturbine zu verbessern. Das Hauptaugenmerk gilt dabei der Beschaufelung. (orig.)

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Environmental compatibility is nowadays a very important part in the case of planing, construction, operation and maintainance of cable systems. A lot of laws and orders have to be observed. Some new aspects concerning the removal of oil filled cables and the consideration of electromagnetic fields even for cabels will be presented. (orig.) [Deutsch] Der Umweltschutz ist heute unverzichtbarer Bestandteil der Planung, Bau, Betrieb und Instandhaltung von Kabelanlagen. Zahlreiche Gesetze und Verordnungen sind hierbei zu beachten. Der Verfasser stellt einige Neuerungen im Zusammenhang mit dem Ausbau und Oelkabeln vor und erlaeutert die auch bei Kabeln zu beruecksichtigenden elektromagnetischen Felder. (orig.)

Energy Technology Data Exchange (ETDEWEB)

Electron beam therapy has often been used for radiation therapy of carcinomas of the buccal mucosa, though side effects, including stomatitis and dermatitis, are known to exist. We experimented using the additional back scatter and transit with the phantom under a lead plate within the irradiation field, in order to better focus the dose on the target volume moreover, we fabricated a mouthpiece fitted with a lead plate shaped to the target volume, and with respect to the influence of the mouthpiece on stomatitis and dermatitis, obtained good clinical results. (author).

International Nuclear Information System (INIS)

Conformal radiation therapy represents a considerable and attractive challenge in oncology. Its aim is mainly to improve local control by increasing the dose with an acceptable rate of complications. This work overviews the world literature on this subject. The technical and theoretical requirements are highlighted. These requirements include a precise definition of the target volume by digital imaging (essentially CT scan), but also clear view of the target volume and the organs at risk, a specific collimation of the beam, 3-D dose calculations, optimization procedures, and a rigid immobilization of the patient with verification of his position. Moreover, the clinical applications of conformal radiation therapy are reviewed and discussed. (authors). 80 refs., 1 tab.

UK PubMed Central (United Kingdom)

Innovative therapy may appear to coincide with medical experimentation, raising ethical and legal issues, for instance on informed consent and institutional review. Medical treatments may be classified,...Full Text Available

British Library Electronic Table of Contents (United Kingdom)

Objectives: Acupuncture has served as a major complementary and alternative therapy that supplements conventional medicine and is the subject of growing public interest. This study was conducted to estimate the usage rate of acupuncture as a supplemental treatment in acute ischaemic stroke patients and to identify factors associated with the choice to use this therapy. Methods: Using the registry of stroke patients admitted to an academic medical centre in Korea, the use of acupuncture therapy was recorded and analysed, along with the patients' socio-demographic characteristics, hospital access variables, risk factors for ischaemic stroke and clinical characteristics. The data were analysed using descriptive statistics, chi-square tests and multiple logistic regression analyses. Results: O...

Energy Technology Data Exchange (ETDEWEB)

No abstract prepared.

Science.gov (United States)

... that were previously adopted by Zhu [20], Skala [3] and Wang [5,7,8] et al. in their respective studies on epithelial tissue. ...

International Nuclear Information System (INIS)

Despite high local control rate in Ewing's sarcoma the exact indication of radiation therapy is still controversial as well as the choice of the target volume and the optimal dose of radiation. The importance of the quality of radiotherapy has been stressed in recently published data and has shown a significant impact on long term local control with adequate radiation therapy. The dramatic improvement of precision allowed by the conformal therapy and three dimensional dosimetry allow to expect a decrease of late effects expected for second malignancies. However, late sequelae and radio-induced osteosarcoma still remain the major side effects after radiotherapy. The authors discuss the results of the main trials on Ewing's sarcoma on the choice of dose and target volume. Surgery is still the preferred choice for small tumors if the foreseen outcome is identical. (authors). 28 refs.

UK PubMed Central (United Kingdom)

The success of monoclonal antibodies in clinical practice is dependent on good design. Finding a suitable target is the most important part as other properties of the antibody can be altered by genetic...Full Text Available

UK PubMed Central (United Kingdom)

PurposeTo identify the extent of persistence (period of time of continuous therapy with the drug prescribed) of glaucoma patients treated with prostaglandins (latanoprost, bimatoprost,...Full Text Available

Energy Technology Data Exchange (ETDEWEB)

A case is reported of a 23-year old male with multiple glomus tumours that showed marked involution after he had electron beam therapy. (author).

UK PubMed Central (United Kingdom)

Modern advances in the concept and the techniques of megavoltage radiation therapy have revolutionized the treatment of medulloblastoma. Five-year survivals of 50 to 70 percent are achieved by craniospinalaxis...Full Text Available

UK PubMed Central (United Kingdom)

SYNOPSISPreterm infants are at risk for both iron deficiency and iron overload. The role of iron in multiple organ functions suggests that iron supplementation is essential for...Full Text Available

UK PubMed Central (United Kingdom)

Invasive fungal infections can be devastating, particularly in immunocompromised patients, and difficult to treat with systemic drugs. Furthermore, systemic administration of those medications...Full Text Available

UK PubMed Central (United Kingdom)

An elderly man receiving chlorambucil for chronic lymphatic leukaemia developed focal fits. The onset and frequency were dose related. There was no evidence of metabolic disturbance or of meningeal...Full Text Available

Energy Technology Data Exchange (ETDEWEB)

The clinical results of electron beam therapy using intraoral cone in 8 cases of primary and recurrence carcinoma of tongue (T1 and smaller T2) were reported. The primary and recurrence cases were 5 and 3, respectively. In the 5 cases, a total dose of 10-30 Gy external radiation therapy were combined prior to electron beam therapy. The total dose of electron beam therapy varied from 40 to 60 Gy. In all cases, tumor showed good response and disappeared clinically. Radiation stomatitis, pain of the tongue with masticatory disturbance due to tenderness were complicated in all cases. These complications gradually disappeared 2 to 6 months after treatment. However, loss of body weight and bone exposure were not recognized in any case. Intraoral-cone electron beam therapy is thought to be available and has less complications comparing interstitial irradiation therapy ...

UK PubMed Central (United Kingdom)

BackgroundTo investigate the effects of intravenous lignocaine infusions (IV lignocaine) in fibromyalgia.MethodsProspective study...Full Text Available

UK PubMed Central (United Kingdom)

BackgroundAlthough advances in rehydration therapy have made cholera a treatable disease with low case-fatality in settings with appropriate medical care, cholera continues...Full Text Available

Medline Plus

... mammography or on ultrasound but not found on physical examination, we consider them non-palpable or not ... lot of this. We send every patient for physical therapy, no matter what type of reconstruction we ...

UK PubMed Central (United Kingdom)

Antimony toxicity occurs either due to occupational exposure or during therapy. Occupational exposure may cause respiratory irritation, pneumoconiosis, antimony spots on the skin and gastrointestinal...Full Text Available

UK PubMed Central (United Kingdom)

BackgroundAdequate pain assessment is critical for evaluating the efficacy of analgesic treatment in clinical practice and during the development of new therapies. Yet the currently...Full Text Available

Energy Technology Data Exchange (ETDEWEB)

The interdiffusion behaviour of MCrAlY-coats on polycrystalline and single-crystalline materials of a similar composition (IN 738 LC/SC 16)shows similar interdiffusion characteristics. TCF-tests, where stress is generated by temperature and sample geometry at the edges of a disk-shaped sample, show that it is possible to differentiate betwee crack resistance of coated and uncoated samples. This method is also suitable for screening tests with different coat thicknesses. Coating of the edge area must, however, be done with great diligence in order to prevent coat thickness variation as results would then not be reproducable. Contrary to TCF (thermal cycle fatigue) TMF-tests (thermal mechanical fatigue)allow to set the stress states that one wishes to test. This method is therefore well suited for testing under operating conditions.(orig.) [German] Im Rahmen dieser Arbeit wurde gezeigt, dass das Interdiffusionsverhalten von MCrAlY-Schichten auf polykristallinen bzw. ...

Energy Technology Data Exchange (ETDEWEB)

A process model is presented and used for identifying options for controlling the cupola furnace process and for investigating natural gas substitutes. Fuel substitution will affect temperature curves (i.e. tapping temperatures and melting capacity), outlet temperatures and gas mass flow out of the preheating zone. The contribution presents several process variations to overcome these problems and compares them with the natural gas process. [German] Mit dem Prozessmodell werden zunaechst Moeglichkeiten der Steuerung von Abstichtemperatur und Schmelzleistung, insbesondere unter Beruecksichtigung der Schrottqualitaet (spezifische Oberflaeche a{sub G}), untersucht. Es wird gezeigt, dass das Prozessmodell die Ergebnisse aus der Praxis wiedergibt. Daran anschliessend wird mit dem Prozessmodell die Substitution von Erdgas durch minderwertige Gase untersucht (Brennstoffsubstitution, Ressourcenschonung). Durch die Brennstoffsubstitution veraendern sich die Temperaturverlaeufe und damit auch ...

Energy Technology Data Exchange (ETDEWEB)

The fundamental recommendations of the ICRP issued in its publication of 1990 stipulate the general principle of performance of dose measurements at regular intervals in the field of diagnostic radiology, for the purpose of equipment performance checking and optimization of radiological protection. In response to this requirement, the Federal Ministry, in cooperation with experts and the competent supervising authorities, has issued an order to install dose-area-product meters in angiographic examination systems, imaging systems and fluoroscopic screen devices primarily used for examining infants and children up to the age of 12. This is done in response to reported cases of adverse effects of radiation exposure and the high priority given to radiological protection in the examination of infants and children. In 1992, an expert group was convened to discuss and elaborate instructions for including dose-area product measurement in the dosimetry activities in medical diagnostic ...

DEFF Research Database (Denmark)

A previously healthy young man experienced several episodes of syncope while being treated with tenofovir, emtricitabine and nevirapine initiated during primary HIV-1 infection. Symptoms disappeared after discontinuation of antiretroviral therapy and we suggest that syncope may be a side effect to one of the three antiretroviral drugs that has not been described previously.

Energy Technology Data Exchange (ETDEWEB)

A tiered communications architecture for managing network traffic in a distributed system. Communication between client or control computers and a plurality of hardware devices is administered by agent and monitor devices whose activities are coordinated to reduce the number of open channels or sockets. The communications architecture also improves the transparency and scalability of the distributed system by reducing network mapping dependence. The architecture is desirably implemented in a proton beam therapy system to provide flexible security policies which improve patent safety and facilitate system maintenance and development.

British Library Electronic Table of Contents (United Kingdom)

Recent literature indicates that torsion of the left ventricle (LV) is a promising predictor for response to cardiac resynchronisation therapy (CRT). Among patients with severe heart failure, 45 to 75% of patients show rigid body rotation, where the base and apex rotate in the same direction, instead of normal, opposite rotation. The occurrence of this phenomenon seems to be a good indicator for response to CRT. From this review, it can be concluded that LV torsion might be a welcome addition to current selection criteria.

International Nuclear Information System (INIS)

Purpose: To assess the relationship between large intracranial vessel occlusive vasculopathy (vasculopathy) and radiation therapy, and to clarify the clinical efficacy of magnetic resonance (MR) imaging in the diagnosis and screening of the vasculopathy. Methods and Materials: We retrospectively evaluated the medical records and serial MR images for 32 pediatric patients, in whom radiation therapy had been given to fields including the circle of Willis and major cerebral arteries. All children had periodically undergone follow-up neurologic assessment and MR imaging examinations at Kanagawa Children's Medical Center for more than one year after radiation therapy (range 1.3-14 years). Patients who had not remained free of tumor progression up to the time of final evaluation were excluded. Results: Vasculopathy developed in 6 of 32 patients 2-13 years after radiation therapy. Three of them presented with ...

Energy Technology Data Exchange (ETDEWEB)

Electron beam therapy applied to a lymph node metastasis from a squamous cell carcinoma was followed by the development of histologically and immunologically typical bullous pemphigoid, the lesions being initially strictly confined to the irradiation area. This observation suggests that the bullous pemphigoid antigen may be altered or unmasked by electron beam radiotherapy, leading subsequently to the production of autoantibodies. The disease in this case effectively responded to the administration of tetracycline and niacinamide, a therapeutic regimen described recently.

Energy Technology Data Exchange (ETDEWEB)

To study the biogeochemical behaviour, mobility and transport of trace metals in seawater (Se, Mo, Cd, Pb, Hg, Cu, Co, Fe, Ni, Zn), in suspended particulate matter (Mo, Cd, Pb, Cu, Co, Fe, Ni, Zn, Al, Mn) and in sediments of the inner and outer coastal regions, samples were collected on 3 separate cruises during a one year period (Mai 1993 - April 1994) at 20 stations in the coastal area of Mecklenburg-Vorpommern. Standard hydrographic parameters, nutrients and dissolved oxygen were also measured. Priority was taken to establish the methods for the determination of molybdenum and selenium. To study the behaviour of these two elements in detail, longterm measurements were carried out weekly between January 1993 and June 1994 at the `Messsteg/Warnemuende`. Because of parallel measurements correlations to biological, chemical and hydrographic parameters have been tested. The total database is summarized in the Appendix. The results are presented in 30 figures and 13 tables and are ...

Energy Technology Data Exchange (ETDEWEB)

Sprengel deformity is a congential malformation with usually unilateral elevation and medial rotation of the scapula. An omovertebral bone is generally present. Associated skeletal malformations are frequently present. Though functional impairment is mild, the cosmetic and psycho-social impairment can be considerable. The prognosis of early surgical therapy is good. The presented case also justifies surgical correction in the older child. (orig.) [German] Die Sprengel-Deformitaet ist eine angeborene Fehlbildung mit meist einseitiger Elevation und Medialrotation der Skapula. Meist ist ein Os omovertebrale vorhanden. Assoziierte skelettale Fehlbildungen sind haeufig. Obgleich funktionell wenig einschraenkend, ist die kosmetische und psycho-soziale Beeintraechtigung oft erheblich. Die Prognose der fruehen operativen Therapie ist gut. Der vorliegende Fall ermutigt zur operativen Therapie auch im hoeheren Kindesalter. (orig.)

International Nuclear Information System (INIS)

Two cases of primary Ewing's sarcoma of the rib are reported, in which radiation therapy was quite effective. Case 1 was an 18-year-old female who had had an operation and radiation therapy for Ewing's sarcoma of the left 7th rib. She was referred to our hospital after a recurrent tumor was found. Radiation therapy (tumor dose 46.2 Gy) and chemotherapy were given. The tumor disappeared and there has been no relapse for 1 year and 3 months after the treatment. Case 2 was a 2-year-old-infant. Radiation therapy (tumor dose 74 Gy) was given for primary Ewing's sarcoma of the left 6th rib. The tumor became small and was successfully removed at operation. There has been no relapse or distant metastasis for 8 months following the operation. We emphasize the importance of multidisciplinary treatment in case 1 and the usefulness of preoperative radiotherapy in case 2. (author).

Energy Technology Data Exchange (ETDEWEB)

Retrospective analyses were performed to evaluate the therapeutic efficacy of intra-oral cone (IOC) radiation therapy for carcinoma of the oral tongue, especially about its faculty of local control and complications. Thirty-nine patients with squamous cell carcinoma of the oral tongue were treated with IOC radiation therapy alone or in combination with external irradiation. IOC radiation therapy was given not only for T1 and T2, but also for T3 tumors. Hypofractionation was used for IOC radiation therapy. The 2 year local control rates, including surgical salvage, for T1, T2, T3 and T4 were 100%, 73.3%, 40% and 0%, respectively. The 5 year actuarial survival rates for Stage I, II, III and IV were 100%, 65.3%, 35.4% and 0%, respectively. The incidences of radiation complications, i.e. soft tissue ulceration and osteoradionecrosis, were 42.9% and 2.9%, respectively. It is suggested that relatively high ...

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{gamma} Ti-Al have a higher temperature potential than commercial titanium alloys and a 50 percent lower density than nickel base superalloys. Application temperatures in aircraft turbines are 750 C and above. The authors investigated the high-temperature performance of {gamma} TiAl, i.e. isothermal high-temperature fatigue and the type and importance of damage. LCF experiments were made in the temperature range of brittle/ductile transition in air and vacuum. Damage mechanisms were characterized by microstructural investigations. [German] Unter den modernen Hochtemperaturwerkstoffen kommt den Legierungen auf Basis von {gamma}-TiAl eine zunehmend wichtige Bedeutung zu, da diese Werkstoffe ein hoeheres Temperaturpotential als alle kommerziellen Titanlegierungen haben und eine im Vergleich zu den Nickelbasis-Superlegierungen um ca. 50% geringere Dichte aufweisen. TiAl-Werkstoffe, die z.B. fuer Schaufeln und Gehaeuse in Flugzeugturbinen eingesetzt ...

Science.gov (United States)

Two patients who developed large intracranial vessel occlusion after standard radiation therapy for brain tumor are described. This form of vascular occlusion is usually seen in patients who have previously been treated by radiotherapy for intracranial tumor who then develop a relatively acute change in neurologic status. Histology of the lesion mimics accelerated focal arteriosclerosis. The clinical and radiographic manifestations of one case were highly atypical. The vasculopathy became evident shortly after termination of radiation therapy for a fourth ventricular ependymoma, and the angiographic picture stimulated a diffuse arteritis. The second patient was more typical, with clinical symptoms developing 12 years after radiation therapy for an oligodendroglioma. Occlusion of a proximal vessel that had been included in the radiation port was demonstrated radiographically and confirmed by pathologic examination. The ...

International Nuclear Information System (INIS)

The invention refers a procedure of radiation dose control in irradiated tissues during electron-beam therapy. It aims at meeting the planned radiation dose for diseased tissues and taking care of the healthy ones. Therefore, the dose distribution required is determined before irradiation in consideration of such factors as energy-dependence of detector sensitivity, self-absorption within the tissue, and relative biological effectiveness. Furthermore, the expected intensity distribution of secondary quantum radiation excited in the irradiated tissue is calculated. A radiation detector for local resolution is used for registration. During irradiation the calculated intensity distribution is compared with the measured one. The invention is applicable in radiation therapy with monoenergetic electron beams.

International Nuclear Information System (INIS)

The aim of this review is to evaluate the role of inflammatory spine disease in patients with chronic back pain. The contribution of imaging modalities for the diagnostic evaluation of back pain is discussed. A systematic literature search based on the classification of seronegative spondyloarthropathies and rheumatoid arthritis was performed. The results of this search and the experiences in a large collective of rheumatological patients are analyzed. The prevalence of rheumatoid arthritis (1-2%) is comparable to that of spondyloarthropathies (1.9%). The etiology of these entities is not fully elucidated. Magnetic resonance imaging is increasingly used for early detection and surveillance of therapy with TNF-#alpha# antagonists. Bone marrow edema, which is only detectable with MRI, represents an early sign of inflammation. Therapy with TNF-#alpha# antagonists is based on clinical and laboratory criteria, and signs of inflammation in MRI. MRI ...

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A long-term follow-up of a patient with beta thalassaemia with intra- and extraspinal extramedullary haematopoietic tissue compressing the spinal cord is presented. Extramedullary haematopoietic nodules are a rare cause of spinal cord compression and should be included in the differential diagnosis, especially in patients from Mediterranean countries. Treatment with radiation therapy solely failed, giving rise to the need of surgical intervention. Surgical decompression of the spine and the removal of the culprit lesion compressing the spine were performed. Postinterventional radiation therapy was applied to the spine. A relapse had to be treated again by surgical means combined with postinterventional radiation therapy. A complete relief of the symptoms and control of the lesion could be obtained.

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This study investigated dose to bone tissue in electron beam therapy. Measurements were made using films and thermoluminescent dosimeters in a polystyrene phantom containing bone inhomogeneity for 15-MeV, 12-MeV, and 9-MeV electron beams. An increase in dose of approximately 18%, 12%, and 11%, for the three electron energies respectively, relative to the dose in polystyrene, was found for bone material having an electron density (relative to water) of 1.73. Measurements were also made using films for 15- and 9-Mev electrons in a phantom with a mandibular bone and teeth. A dose enhancement in bone of approximately 10% and 7%, respectively, for the two energies was found in the phantom where the electron density of bone was about 1.60. These results suggest that injury to bone is possible in those clinical situations where high doses of electrons are used for therapy.

International Nuclear Information System (INIS)

In everyday radiotherapy we must carry out the determination of absorbed dose measurement according to JARP's protocol. We explained an outline of JARP's 1974 and 1986 protocol in electron beam therapy, and mentioned it about the matter that should examined. To use it easily in clinic, a simplified procedure based on precisely to JARP's 1986 protocol is practical, the character of this procedure settles briefly the determination of mean incident energy of electron beams and get ready to table of ionization to absorbed dose conversion factor for various ionization chamber. Also, this procedure almost not influence on the accuracy of determination. We described systematically practical procedure for requisite absorbed dose calculation in a patient in electron beam therapy. (author).

British Library Electronic Table of Contents (United Kingdom)

In this study we investigated cultural, familial, and individual beliefs that influenced international students? perceptions of therapy and help-seeking behaviors. Included were changes in perception or behavior before and after the students came to the US, and factors that influenced help-seeking behaviors. Six international students from East Asian countries where English is a foreign language, including Taiwan, Mainland China, Japan, and South Korea, were interviewed. We used semi-structured interviews and participant observations for collecting data. The findings indicated changes after students came to the US. Further discussions focus on encouraging and discouraging factors relative to seeing therapists, and culturally sensitive interventions for family therapy clinicians.

Energy Technology Data Exchange (ETDEWEB)

The project is intended to yield information on the transfer factors describing the transfer of ingested radionuclides to breast milk for the following elements: antimony, cerium, chromium, cobalt, gallium, lanthanum, molybdenum, niobium, radium, ruthenium, silver, thorium, titanium, and uranium. Those yet unknown or poorly known transfer factors are required in order to be able to develop a reliable model for description and assessment of the transfer of the radionuclides and the possibly resulting hazardous doses to infants, and for subsequent formulation of recommendations for radiological protection of the population. (orig./CB) [German] Ziel des Projektes ist die Ermittlung von Transferfaktoren fuer den Uebergang von Radionukliden aus der Nahrung der Muetter in die Muttermilch fuer die Elemente Antimon, Cer, Chrom, Cobalt, Gallium, Lanthan, Molybdaen, Niob, Radium, Ruthenium, Silber, Thorium, Titan und Uran. Um die Exposition und damit die moegliche Gefaehrung von Saeuglingen ...

Energy Technology Data Exchange (ETDEWEB)

The conference reviewed the state of the art of stationary fuel cell systems, concepts, and the next steps to be taken. Fuel cell systems of several hundred kW have been designed and constructed already. Systems for domestic power supply are in the range of several kW. [German] Die in den letzten zehn Jahren gewonnenen Erfahrungen mit den ersten Pilotanlagen sind eine wichtige und unentbehrliche Hilfe den Weg in den Markt fuer die Brennstoffzelle zu ebnen. Der vorliegende Tagungsband soll diese Erfahrungen fuer die stationaer eingesetzten Brennstoffzellen zusammenfassen und ein aktuelles Bild ueber die daraus gewonnenen Konzepte und Vorstellungen fuer die naechsten Schritte aufzeigen. Bei Energieversorgern sind hier Leistungsgroessen von bis zu mehreren 100 kW eingesetzt worden. Der Leistungsbereich, der fuer die Aufgaben der Hausenergieversorgung typisch ist, befindet sich demgegenueber im Bereich einiger kW. (orig.)

Energy Technology Data Exchange (ETDEWEB)

By retrofitting the existing steam turbine dual purpose power plant with a gas turbine plant and a secondary waste heat boiler the Technische Werke Ludwigshafen AG have considerably improved the energy generation in energetic, economic and ecological terms. The extension of the existing system to a combined cycle process has lead to this positive effect. The erection of a boiler plant during the first two construction phases has fully met the optimistic expectations. (orig.) [Deutsch] Mit der Nachruestung eines vorhandenen Dampfturbinen-HKW um eine Gasturbinenanlage mit nachgeschaltetem Abhitzekessel haben die Technischen Werke Ludwigshafen AG ihre Energieerzeugung entscheidend in energetischer, oekonomischer und oekologischer Sicht optimiert. Insbesondere die Erweiterung des vorhandenen Systems zu einem GuD-Prozess fuehrt zu dieser positiven Bilanz. Die Errichtung der Kesselanlage in den ersten beiden Bauabschnitten hat die optimistischen ...

Energy Technology Data Exchange (ETDEWEB)

Fuel cells can make an important contribution to ecologically acceptable energy supply. There are many pilot projects in the 1 W to 1 MW range. Especially the motor car industry is quite interested, and a breakthrough seems to be in sight. The second part of this series discusses the physical and chemical fundamentals of the fuel cell, the function of the electrolyte and catalyst, and the functional principle. (orig.) [German] Brennstoffzellen koennen bei der Riesenaufgabe, den weiter wachsenden Energiebedarf oekologisch vertraeglicher als bisher zu decken, einen wichtigen Beitrag leisten. Bis heute (2004) gibt es zahllose Pilotprojekte im Leistungsbereich 1 W bis ueber 1 MW, die die Alltagstauglichkeit der BZ beweisen. Verschiedenste Branchen - vor allem auch die Automobilindustrie - zeigen grosses Interesse fuer kommerzielle Anwendungen. Die Brennstoffzelle als effizienter Energiewandler, scheint vor dem Durchbruch zu stehen. Der zweite Teil ...

Energy Technology Data Exchange (ETDEWEB)

The harnessing and enhanced use of renewable energy today is a matter of lively debate and much concern. Amazingly, hydro power is either rarely considered in these discussions or viewed in a negative light. But hydro power continues to be the most important source of renewable energy, and its use potential is considerable and should be taken into account when, for instance, agreeing on or implementing carbon dioxide reduction targets. Small hydro power stations are an effective means of harnessing existing energy potentials. (orig.) [Deutsch] Ueber die Nutzung und den Ausbau regenerativer Energien wird heutzutage lebhaft diskutiert und gerungen. Es mag erstaunen, dass in diesen Diskussionen die Wasserkraft kaum Beachtung findet oder in einem schlechten Licht gesehen wird. Dabei ist die Wasserkraft nach wie vor bei weitem die wichtigsten Quelle regenerativer Energie, und sie besitzt ein beachtliches Ausbaupotential, das man wenigstens ins Kalkuel ziehen sollte, wenn es etwa darum geht, ...

Energy Technology Data Exchange (ETDEWEB)

By joining the `climate association of European cities`, Frankfurt has agreed to reduce its CO{sub 2}-emissions by 50% by the year 2010. The so-called `climate offense 1991` was the first regulatory paper to be set up by a community to reach this goal over a long term. This report now represents the present level of the project. Main points are the development of houses with low entropy, the retrofitting of heating systems, water saving measures and energy management. (BWI) [Deutsch] Durch den Beitritt zum `Klima-Buendnis der Europaeischen Staedte` hat sich die Stadt Frankfurt/M. verpflichtet, die CO{sub 2}-Emissionen bis zum Jahr 2010 um 50% zu senken. Mit der sog. `Klimaoffensive 1991` wurde dann erstmals von einer Kommune in Deutschland ein detailliertes Regelwerk aufgestellt, um dieses Ziel langfristig erreichen zu koennen. Der vorliegende Bericht stellt den aktuellen Stand des Projektes dar. Kernpunkte sind die Entwicklung von ...

Energy Technology Data Exchange (ETDEWEB)

Ventilation systems must ensure high room air quality with minimum energy consumption in all states of operation. Systems for ventilation on demand are increasing their market share. (orig./MSK) [Deutsch] Oberste Aufgabe von Raumlufttechnischen Anlagen ist die Sicherstellung guter Raumluftqualitaet bei minimalem Energieverbrauch unter allen Betriebsbedingungen. Um dieses Ziel zu erreichen, setzt sich am Markt zunehmend die bedarfsgeregelte Lueftung durch. (orig./MSK)

Energy Technology Data Exchange (ETDEWEB)

PulsPlasma nitriding is now one of the established nitriding methods. This article describes PulsPlasma nitriding procedures and the boundary conditions necessary. The special features of PulsPlasma technology compared to DC plasma systems are illustrated. In addition, the process benefits of material treatment using a plasma are examined, as is system type. The article concludes with typical applications of PulsPlasma technology for treatment of stainless steel, cold-working steel, hot-working steel and sintered steel. (orig.)

Energy Technology Data Exchange (ETDEWEB)

A Paderborn group of builder-owners decided in favour of so-called concrete core activation or isothermal component tempering as an alternative to conventional air conditioning. Results are now available for the first year of operation. [German] Am eigenen Neubau hat eine Paderborner Bauherrengemeinschaft die sogenannte Betonkernaktivierung - oder wie es die Bauherren nennen, isotherme Baukoerpertemperierung - als Alternative zu einer konventionellen Klimaanlage installiert. Inzwischen liegen die Messergebnisse von der ueber einjaehrigen Betriebszeit vor. (orig.)

UK PubMed Central (United Kingdom)

A nonviral vector for highly efficient site-specific integration would be desirable for many applications in transgenesis, including gene therapy. In this study we directly compared the genomic integration...Full Text Available

UK PubMed Central (United Kingdom)

AbstractThe optimal definition of the size, shape and location of gross tumour volume is one of the most important steps in the planning of radiation therapy, and necessitates a proper...Full Text Available

UK PubMed Central (United Kingdom)

Albeit the considerable progress that has been made both in our understanding of the pathophysiology of acute renal failure (ARF) and in its treatment (continuous renal replacement therapies), the morbidity...Full Text Available

UK PubMed Central (United Kingdom)

Background: Patients with a typical depression are more likely to respond to monoamine oxidase inhibitors than to tricyclic antidepressants. They are frequently offered psychotherapy...Full Text Available

UK PubMed Central (United Kingdom)

Two large, prospective, randomized, controlled trials have shown a beneficial effect of intensive insulin therapy (IIT) on the kidney function of critically ill patients. The data from these trials...Full Text Available

UK PubMed Central (United Kingdom)

Recent reports confirm that, due to the presence of long-lived, latently infected cell populations, eradication of human immunodeficiency virus type 1 (HIV-1) from infected patients by using antiretroviral...Full Text Available

UK PubMed Central (United Kingdom)

The difficulties created by the lack of generally accepted views on classification, diagnostic criteria and natural history of the cutaneous lymphomata are discussed. Only the lymphomata which remain...Full Text Available

UK PubMed Central (United Kingdom)

PurposeTo date there remains no effective therapy for metastatic melanoma and at the molecular level disease progression remains poorly understood. Recent work by...Full Text Available

UK PubMed Central (United Kingdom)

Shoulder pain is a common orthopedic condition seen by physical therapists, with many potential contributing factors and proposed treatments. Although manual physical therapy interventions for the cervicothoracic...Full Text Available

UK PubMed Central (United Kingdom)

Total thyroidectomy involving the adjacent structures of the trachea can cause tracheal damage such as early tracheal necrosis. The authors describe the first case of anterior tracheal necrosis following...Full Text Available

UK PubMed Central (United Kingdom)

Microplanar beam radiation therapy has been proposed to treat brain tumors by using a series of rapid exposures to an array of parallel x-ray beams, each beam having uniform microscopic thickness and...Full Text Available

Medline Plus

... 46 DOUGLAS BOCCUZZI, MS, DABR: There are some electromagnetic fields in the room, not strong. You can ... 5 weeks or is she feeling any side effects? 00:43:33 SUSAN Y. KIM, MD: She ...

UK PubMed Central (United Kingdom)

BackgroundDiscovery of biomarkers that are correlated with therapy response and thus with survival is an important goal of medical research on severe diseases, e.g. cancer. Frequently,...Full Text Available

UK PubMed Central (United Kingdom)

Although major inroads into making antiretroviral therapy available in resource-poor countries have been made, there is an urgent need for an effective vaccine administered shortly after birth, which...Full Text Available

UK PubMed Central (United Kingdom)

IntroductionIrradiation of normal, non-malignant bone during cancer therapy can lead to atrophy and increased risk of fracture at several skeletal sites, particularly...Full Text Available

UK PubMed Central (United Kingdom)

BackgroundIn β-thalassemia, profound anemia and severe hemosiderosis cause functional and physiological abnormalities in various organ systems. In recent years, there have...Full Text Available

UK PubMed Central (United Kingdom)

Incidence of esophageal cancer (EC) is rising more rapidly in the Western world than that of any other cancer. Despite advances in therapy, more than 50% of patients have incurable disease at the time...Full Text Available

UK PubMed Central (United Kingdom)

BackgroundThis study aimed to assess whether endoscopic implantation of an injectable esophageal prosthesis, the Gatekeeper Reflux Repair System (GK), is a safe and effective therapy...Full Text Available

UK PubMed Central (United Kingdom)

Idiopathic frozen shoulder is a common medical diagnosis for patients seeking physical therapy. Radiographic and surgical evidence exists that describes the coracohumeral ligament (CHL) as a major contributor...Full Text Available

International Nuclear Information System (INIS)

Eight patients who had received megavoltage therapy for Cushings' disease 5-12 years previously have been reviewed. The long term response to this therapy was assessed with respect to efficacy of treatment in inducing continued remission and disturbance of hypothalamic-pituitary function. One patient showed clear evidence of relapse of Cushings' disease. One patient had unequivocal hypopituitarism. Basal levels of growth hormone (GH), TSH, LH, and FSH were not statistically different from controls, but provocative testing revealed significant abnormalities of response of cortisol/ACTH, GH, prolactin and LH. Six out of eight patients had absent diurnal cortisol variation and five patients had elevated serum prolactin levels. Thus, in this group of patients normal pituitary-adrenal function has not been satisfactorily restored. It is clear that significant disturbances of hypothalamic-pituitary function follow megavoltage ...

UK PubMed Central (United Kingdom)

The ability to achieve tumor selective expression of therapeutic genes is an area that needs improvement for cancer gene therapy to be successful. One approach to address this is through the...Full Text Available

UK PubMed Central (United Kingdom)

BackgroundReplication capacity (RC) of specific HIV isolates is occasionally blamed for unexpected treatment responses. However, the role of viral RC in response to antiretroviral...Full Text Available

UK PubMed Central (United Kingdom)

Voxel-based prescriptions of deliberately non-uniform dose distributions based on molecular imaging, so-called dose painting or theragnostic radiation therapy, require specification of a transformation...Full Text Available

UK PubMed Central (United Kingdom)

BackgroundStem cell characteristics are an important feature of human cancer cells and play a major role in the therapy resistance of tumours. Strategies to target cancer stem cells...Full Text Available

UK PubMed Central (United Kingdom)

The long-term goal of nuclear transfer or alternative reprogramming approaches is to create patient-specific donor cells for transplantation therapy, avoiding immunorejection, a major complication in...Full Text Available

UK PubMed Central (United Kingdom)

The 37/67-kd laminin receptor, LAMR, is a multifunctional protein that associates with the 40S ribosomal subunit and also localizes to the cell membrane to interact with the extracellular matrix. LAMR...Full Text Available

UK PubMed Central (United Kingdom)

BackgroundIntrafractional motion results in local over- and under-dosage in particle therapy with a scanned beam. Scanned beam delivery offers the possibility to compensate target...Full Text Available

UK PubMed Central (United Kingdom)

In 1871, the observation of yellowish nodules in the enlarged spleen of a cow was considered to be the first reported case of bovine leukemia. The etiological agent of this lymphoproliferative disease,...Full Text Available

UK PubMed Central (United Kingdom)

Tea ranks second only to water as a major component of fluid intake worldwide and has been considered a health-promoting beverage since ancient times. For the past two decades, we and others...Full Text Available

Energy Technology Data Exchange (ETDEWEB)

35 patients with ankle sprain were examined by MRI and stress radiographs. 13 were operated afterwards, 22 patients underwent a functional conservative therapy and were examined by MRI and stress radiographs and second time after three months. MRI reports were correct in 12 of 13 operated cases. After conservative therapy we did not find any disrupted ankle ligament. MRI showed intact ligaments thickened by scar. (orig./MG) [Deutsch] 35 Patienten mit klinischem Verdacht auf Aussenbandruptur wurden mit der MRT untersucht. 13 Patienten wurden operiert, 22 konzervativ therapiert. Letztere wurden nach drei Monaten erneut mit MRT und gehaltenen Aufnahmen untersucht. Die MRT-Befunde stimmten in 12 von 13 Faellen mit den operativ erhobenen Befunden ueberein. Nach dreimonatiger konzervativer Therapie waren alle 22 Sprunggelenke stabil. Die rupturierten Baender stellten sich verdickt und durchgaengig dar. (orig./MG)

UK PubMed Central (United Kingdom)

Despite the demonstrated clinical efficacy of CD20 monoclonal antibody (mAb) for lymphoma therapy, the in vivo mechanisms of tumor depletion remain controversial and variable. To identify the molecular...Full Text Available

Science.gov (United States)

Penile rehabilitation has been an area of intense study and debate over the last decade. Interest in this topic was stimulated by the observation that erectile dysfunction remained a significant problem after radical prostatectomy despite meticulous nerve-sparing technique. Smooth muscle alterations and fibrotic changes in the penis were identified as the underlying causes of penile atrophy, veno-occlusive dysfunction, and Peyronie's-like changes that were observed after surgery. Initial observations that intracavernous injection therapies used on a regular basis postoperatively resulted in improvements in the return of spontaneous erectile function led to the development of penile rehabilitation protocols. Chronic dosing of oral type V phosphodiesterase inhibitors is now commonly used by urologists after radical prostatectomy despite a lack of convincing evidence from randomized, placebo-controlled clinical trials. Use of local therapies to ...

UK PubMed Central (United Kingdom)

A Legionella-like organism (strain 1087-AZ-H) was isolated from a pleural-fluid specimen from a renal transplant patient undergoing immunosuppressive therapy. Growth characteristics and gas-liquid chromatography...Full Text Available

UK PubMed Central (United Kingdom)

Path analysis was used to determine the interrelationships between postpartum administration of gonadotrophin releasing hormone and cloprostenol and the occurrence of reproductive disease and reproductive...Full Text Available

UK PubMed Central (United Kingdom)

The development of azole resistance in Candida albicans is most problematic in patients with AIDS who receive long courses of drug for therapy or prevention of oral candidiasis. Recently,...Full Text Available

UK PubMed Central (United Kingdom)

Immunotherapy has shown promise in a number of tumor types, but its exact role in sarcoma remains to be defined. Advanced bone and soft tissue sarcomas are challenging diseases to treat with an unmet...Full Text Available

UK PubMed Central (United Kingdom)

Neuropilin-1 (NRP1) acts as a co-receptor for class 3 semaphorins and vascular endothelial growth factor and is an attractive angiogenesis target for cancer therapy. In addition to the transmembrane...Full Text Available

UK PubMed Central (United Kingdom)

Human blinding disorders are often initiated by hereditary mutations that insult rod and/or cone photoreceptors and cause subsequent cellular death. Generally, the disease phenotype can be predicted...Full Text Available

UK PubMed Central (United Kingdom)

Background:Stem cells can differentiate into multiple cell types, and therefore can be used for cellular therapies, including tissue repair. However, the participation of stem cells...Full Text Available

UK PubMed Central (United Kingdom)

BackgroundIn patients with Stage 5 Chronic Kidney Disease who require renal replacement therapy a major decision concerns modality choice. However, many patients defer the decision...Full Text Available

UK PubMed Central (United Kingdom)

Patients experiencing several cancers can be a challenge, as optimal treatment options for the different cancers might interfere with each other. In this case report, we present a woman diagnosed with...Full Text Available

UK PubMed Central (United Kingdom)

SummaryEpigenetic drugs have been shown to enhance gene expression and drug sensitivity in ovarian cancer cell lines and animal models. Based on promising pre-clinical studies,...Full Text Available

UK PubMed Central (United Kingdom)

BackgroundAn artemisinin-based combination therapy, artesunate (AS) plus sulphadoxine-pyrimethamine (SP), was compared to SP monotherapy to provide evidence of further treatment...Full Text Available

UK PubMed Central (United Kingdom)

Glioblastoma, the most common malignant brain tumor, is among the most lethal and difficult cancers to treat. Although epidermal growth factor receptor (EGFR) mutations are frequent in glioblastoma,...Full Text Available

UK PubMed Central (United Kingdom)

Purpose:To investigate the clinical usage of dose verification of Helical Tomotherapy plans by using 2D-array ion chambers, and to develop an efficient way to validate the dose delivered...Full Text Available

UK PubMed Central (United Kingdom)

Recent preclinical and clinical data suggest that TP53 status and TP53 mutations may be important in determining tumour aggressiveness and therapy response. In this study we investigate the feasibility...Full Text Available

UK PubMed Central (United Kingdom)

The results of clinical trials conducted in Europe and North America have been incorporated into treatment strategies for breast cancer in Japan. Despite the use of similar treatment regimens, why has...Full Text Available

UK PubMed Central (United Kingdom)

BackgroundLoss to follow-up (LTF) challenges the reporting of antiretroviral treatment (ART) programmes, since it encompasses patients alive but lost to programme and deaths misclassified...Full Text Available

UK PubMed Central (United Kingdom)

Clinical applications of genetic therapies, including delivery of short, interfering RNAs (siRNAs) for RNA interference (RNAi), are limited due to the difficulty of delivering nucleic acids...Full Text Available

UK PubMed Central (United Kingdom)

BackgroundTo compare the differences in dose-volume data among coplanar intensity modulated radiotherapy (IMRT), noncoplanar IMRT, and helical tomotherapy (HT) among patients with...Full Text Available

UK PubMed Central (United Kingdom)

Objective: To further delineate the clinicopathological and radiological features of solid pseudopapillary tumor (SPT) of the pancreas and summarize the surgical therapy strategy for this tumor. Methods:...Full Text Available

UK PubMed Central (United Kingdom)

We presented data showing that the CART-19 cells expressing the 4-1BB signaling domain can have unprecedented and massive in-vivo expansion, traffic to tumor sites, persist long term in vivo, and induce...Full Text Available

UK PubMed Central (United Kingdom)

BackgroundInadequate platelet inhibition despite aspirin and clopidogrel therapy during and after a percutaneous coronary intervention is associated with an impaired clinical outcome....Full Text Available

International Nuclear Information System (INIS)

The diagnostic accuracy of computed tomography (CT) in several patterns of thoracic and abdominal fatty masses, has been examined. In selected cases our findings overlap the features of the recent literature. The possibility of surgical therapy in peculiar cases of adipose deposits, commonly esteemed benign, is considered.

Science.gov (United States)

- flushing Chemotherapy - what to ask your doctor Dry Mouth Oral mucositis Peripherally inserted central catheter Radiation therapy - what to ask your doctor Safe drinking during...

UK PubMed Central (United Kingdom)

Antiplatelet resistance has been proposed as a possible mechanism to explain recurrent cardiovascular events in patients who have coronary artery disease and who are undergoing dual antiplatelet therapy....Full Text Available

UK PubMed Central (United Kingdom)

Oncolytic viruses (OVs) represent a relatively novel anti-cancer modality. Like other new cancer treatments, effective OV therapy will likely require combination with conventional treatments. In order...Full Text Available

UK PubMed Central (United Kingdom)

Recombinant adenoviruses have been widely used for various applications, including protein expression and gene therapy. We herein report a new and simple cloning approach to an efficient and robust...Full Text Available

Energy Technology Data Exchange (ETDEWEB)

Numerous task forces at universities, other research institutions and in industry have been concerned with the development of methods fit to replace animal experiments. A great many useful in-vitro test systems were developed. From 1986 to 1993 the ``In-vitro Systems`` newsletter was published with the support of the federal ministry of science and technology. Its purpose was to intensely promote the concept of in-vitro systems for the benefit of experimental animals among scientists, and to demonstrate to the public the limits of such endeavours. This brochure is a compilation of 141 contributions from all annual volumes, dealing inter alia with research projects for the development of pharmaceuticals, toxicology and quality control, ethic-philosophical considerations, meeting reports, and book reviews. Changes or revisions have not been made; so some of the contributions have been overtaken by more recent developments. (MG) [Deutsch] Viele Arbeitsgruppen an Universitaeten, anderen ...

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The exactness of the best atomic clocks currently shows a temporal variation of 1 second in 30 million years. This means that we have reached the point of the most exact frequency and time measurement ever. In the past, there was a trend towards increasing the exactness in an increasingly fast sequence. Will this trend continue? And who will profit from it? This article is meant to give answers to these questions. This is done by presenting first the level reached currently with the best atomic clocks and describing the research activities running worldwide with the aim of achieving even more exact clocks. In the second part, we present examples of various areas of technical subjects and research in which the most exact clocks are being applied presently and even more exact ones will be needed in the future. [German] Die Genauigkeit der derzeit besten Atomuhren entspricht einer Sekunde Unsicherheit in 30 Millionen Jahren. Damit erlauben Frequenz- und Zeitmessungen die genauesten ...

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With the development of the latent heat store and its inclusion in the conventional heating control of cars, success has been achieved both in increasing comfort and in making an important contribution to safety of driving. Great store is set in development of the system on its environmental friendliness, for example by the thorough use of environmentally friendly and reusable materials. This also means the use of clean materials. It was shown that the latent heat store (apart from the aspects of comfort and safety of driving) can also make a contribution to saving fuel and reducing the exhaust gas. The sum total of the advantages makes it clear that the latent heat store introduced here is a very environmentally friendly system with multi-functional properties. (orig.) [Deutsch] Mit der Entwicklung des Latentwaermespeichers und seiner Einbindung in die konventionelle Heizungsregelung von Automobilen ist es gelungen, sowohl den Komfort deutlich zu erhoehen als auch ...

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The position paper will provide the basis for further strategies on offshore wind power development in consideration of ecological and conservation aspects. [German] Das Positionspapier des Bundesministeriums fuer Umwelt, Naturschutz und Reaktorsicherheit (BMU) einschliesslich des Umweltbundesamtes (UBA) und des Bundesamtes fuer Naturschutz (BfN) ist Ergebnis der Arbeiten der BMU-Projektgruppe 'Windenergienutzung im Offshore-Bereich im Hinblick auf die BMU-Anliegen'. Es beschreibt den derzeitigen Stand einer Strategie zur umwelt- und naturvertraeglichen Erschliessung der Windenergienutzung auf See (Offshore). Es bildet die Grundlage fuer die Weiterentwicklung dieser Strategie und dabei insbesondere zur Abstimmung mit den Anliegen anderer Bundesressorts und den Kuestenlaendern, sowie zur intensiveren Einbeziehung beteiligter Verbaende und Fachkreise. Vor dem Hintergrund der zur Genehmigung eingereichten Antraege fuer Offshore-Windparks, mangelnder Erfahrung der ...

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The purpose of the present study was to examine reactions between bromium atoms with {alpha}, {beta}-unsaturated carbonyls. Acrolein, methacrolein, and methyl vinyl zetone were chosen as representatives of this family. The latter two compounds, beside formaldehyde, belong to the main products of atmospheric oxidation of isoprene and have been detected in the troposphere at concentrations of up to almost 1 ppb. It is known that alkenes react with bromium via addition to form an instable adduct. This product can either decompose again into its educts or react with molecular oxygen. The aim of the study was to determine the velocities of the reactions between the three {alpha}, {beta}-unsaturated carbonyls and bromium and to clarify the involved reaction mechanisms by means of kinetic experiments and product analyses. (orig./SR) [Deutsch] In dieser Arbeit wurde die Reaktion von Bromatomen mit {alpha}, {beta}-ungesaettigten Carbonylen untersucht. Ausgewaehlt wurden Acrolein als einfachster ...

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The composition of alkaline and neutral boric acid containing evaporator concentrates resulting from the treatment of radioactive waste water in nuclear power plants with WWER reactors is described as well as the processing of these concentrates to a product suitable for final disposal. Tests with mock solutions of these evaporator concentrates have been performed at the laboratory and teststand scale to produce a dry residue by continuous thickening, which can be processed into a highly leach resistant product, suitable for final disposal, by cementation. Ca-compounds must be added to the evaporator concentrates prior to the drying in an rotary thin-film evaporator (RTFE). The tests showed that neutral evaporator concentrates can be dried in a RTFE with addition of small amounts of Ca-compounds. The alkaline evaporator concentrates with high boric acid and total salt load require a multiple amount of Ca-compounds and diluting water to perform the drying process. A brief description of ...

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Pulmonary infections and tumors are a major cause of death in patients with AIDS. The combination of clinical, radiological, laboratory, and pathohistological data helps to narrow the spectrum of differential diagnoses or even allows a specific diagnosis in many patients. Nevertheless, an accurate diagnosis should be obtained as soon as possible during the clinical course of the illness to initiate treatment in time. Computed tomography (CT) has proven to provide promising results in the diagnosis of AIDS-related throacic diseases. The aim of this paper was to demonstrate the diagnostic capacities of CT in the context of particular AIDS-related thoracic pathologies. Additional information on the spectrum of pathological agents and on differential diagnostic signs is summarized. (orig.) [Deutsch] Pulmonale Infektionen und Tumore sind eine wesentliche Todesursache bei Patienten, die am erworbenen Immunmangelsyndrom AIDS leiden. In den meisten Faellen gelingt es, durch Zusammenschau ...

International Nuclear Information System (INIS)

Purpose: Patients with mycosis fungoides [cutaneous T-cell lymphoma (CTCL)] may benefit from adjuvant therapy after completing total skin electron beam therapy (TSEBT). We report the results for (T1(T2)) CTCL patients treated with adjuvant oral psoralen plus ultraviolet light (PUVA) with respect to overall survival (OS), disease-free survival (DFS), salvage of recurrence, and toxicity. Methods and Materials: Between 1974 and 1993, TSEBT was administered to a total of 213 patients with CTCL. Records were reviewed retrospectively, and a total of 114 patients were identified as having T1 or T2 disease. Radiotherapy was provided via a 6-MeV linac to a total of 36 Gy, 1 Gy/day, 4 days/week, for 9 weeks. Beginning in 1988, patients were offered adjuvant PUVA within 2 months of completing TSEBT. This was started at 0.5-2 J/m"2, 1-2 treatments/week, with a taper over 3-6 months. Therapy then continued once per month. There were 39 ...

International Nuclear Information System (INIS)

Results are presented applying an enteral nutrition by means of probes with Cosilat in complex therapy of patients with radiotherapeutic late effects of the colon. This nutrition was prescribed with the intention to gave the colon a functional recovery and to guarantee optimal conditions for repair of radiation injuries. Good results were seen in 27 of 28 patients (96.7%), the situation of one patient (3.3%) continued without any change. Cosilat has a high nutritive value, good organoleptic qualities and is well digested without any complications. (author).

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Transplantation has emerged as the therapy of choice for many patients with end organ failure. One of the major goals is to tailor immunosuppressive therapy to the individual needs of every patient to balance the risk for rejection and over-immunosuppression. This will require diagnostic tools that can detect harmful processes in the allograft early, and that can be measured repeatedly. This review will consider recent advances in our understanding of the molecular nature of these processes and how this information is being utilized to design novel diagnostic assays to non-invasively monitor allografts. Highlighted is the need for large-scale prospective multi-centre studies to validate assays that show early promise in single centre studies.

International Nuclear Information System (INIS)

The long and resource intensive process of drug discovery and development is confronted with the basic challenge of providing effective and safe therapies at reasonably low costs. The better the mechanism of a disease is known, the higher the probability to find an appropriate therapy. Also, the better and earlier a disease can be diagnosed and characterized, the higher the chance to be able to interfere in this process with a chemical entity. This reasoning sets the framework for the use of imaging in drug discovery. We discuss the relevance of magnetic resonance imaging and spectroscopy to derive anatomical, functional, metabolic and target-related information in the context of pharmacological research in vivo. (author)

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Comparison of dosimetry measured in a noncylindrical Rando-Alderson phantom by two-field, four-field, and six-field total-skin electron-beam therapy (TSEBT) techniques with our dual-field rotational (DFR) technique reveals a superior dosimetry for the latter. Our technique of dual-field rotational DFR-TSEBT is described in detail, and its advantages and indications for the primary management of cutaneous T-cell lymphoma (CTCL) and Kaposi's sarcoma (KS) are discussed.

International Nuclear Information System (INIS)

Purpose: To evaluate the effect of low-dose radiation therapy and surgery on local control in patients with Ewing's Sarcoma. Materials and Methods: Between 1979 and 1995 24 patients (ages 4-47) with Ewing's sarcoma were treated with combined modality therapy that included multi agent chemotherapy, surgical resection, and radiation therapy. Twelve patients had metastatic disease at the time of presentation (pleura = 3, lung = 5, bone 4). Tumor location was central in 16 and peripheral in 8. Multi agent chemotherapy consisted of vincristine/actinomycin D/cyclophosphamide/doxorubicin in 19. The same agents with the addition of ifosfamide and etoposide were given in 5. The extent of resection was considered to be radical in 14 and of the 16 patients who received preoperative chemotherapy, 5 were found to have a pathologic complete response. All patients with lung metastases at diagnosis received whole-lung irradiation to 1400 ...

International Nuclear Information System (INIS)

From 1979 to 1986, 182 patients with biopsy proven diagnosis of Ewing's sarcoma of bone were observed. One hundred of the 182 patients (72 males, 28 females, median age 15.8 years) with localized disease and no previous treatment were treated with chemotherapy (VCR, ADM, CTX, D-ACT) for 15-18 months. Local treatment was radiotherapy (42 patients), surgery (31 patients), or a combination of both (27 pts). Radiation doses ranged from 45 to 64 Gy given with conventional fractionation. Median follow-up was 51.2 months (24-106). Overall and disease-free survival were, respectively, 58.7 and 42.6%. Resected patients tended to have a better local control (Surgery 93.6%, Surgery + Radiation therapy 92.6%, Radiation therapy 69.1%). Disease-free survival was significantly related to the volume of the primary tumor (bulky: 33.2%, not-bulky: 57.7%), to site (extremities 54.6%, central sites 16.6%, other sites 40.9%), and to local treatment (Radiation ...

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1. Cyanide degradation: Of the cyanide- and thiocyanate-degrading bacteria, Burkholderia cepacia and Pseudomonas spec. were the most effective. 2. Biosorption: Of the isolates suited for biosorption of heavy metals, 597-A (non-identifiable) and 597-A2 (Aspergillus fumigatis) had the biggest potential. The sorption capacity of the fungi for metals varied with the C source used for their growth: apple juice > molasses > glucose. The fungi are not cyanide-sensitive and can even degrade cyanide. Living biomass had better metal sorption efficiencies than dead mycelium. The biosorption rates in waste water were usually higher than in broth. Depending on the metal composition and concentrations and on the exposure time and volume of the mycelia, up to 85 % of the initial concentration was removed from the liquid phase. The capacity of different biomasses for the sorption of metal mixtures was between 65 and 80 mg/g of dry matter depending on the experimental conditions, with ...

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Parallel imaging and echo sharing techniques have markedly reduced the acquisition times for MRI of large volumes. Dynamic 2 and 3-dimensional data sets of the chest with high temporal resolution (up to 10 images/s with single slice and 2 volume/s) allow an analysis of respiratory motion of the lungs and tumors. Time-resolved 2D series in preselected planes can be used to observe respiratory motion during free breathing or after respiratory commands, e.g. to exclude chest wall invasion by a tumor or for diagnosing impairment of respiratory mechanics. Time-resolved 3D-series (4D-MRI) allow monitoring of the spatial displacement of the lungs and tumors as a whole volume. Present limitations such as an overestimation of tumor size and an underestimation of displacement due to a limited temporal resolution are expected to be overcome with further technical developments. However, 4D-MRI already appears to be the appropriate tool to select patients for motion-adapted radiotherapy. In ...

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In technical combustors, flow and combustion processes inside the combustion chamber determine the design and also the safety of the plant. A modelling technique was developed at TU Dresden which comprises both numerical simulations and experimental data and thus achieves a high degree of transparency in its visualisation of the processes inside the combustion chambers under investigation. With the experience gained, numerical models of commercial simulation software (FLUENT, CFX) can be validated by measured values, and potential applications of the programs can be investigated. The first stage of experimental modelling consisted in isothermal (cold) modelling in consideration of flow-relevant similarity characteristics. In the reactive, non-isothermal models, the fuel/air ratio and temperature conditions inside the original combustion chamber were modelled as well. In order to obtain detailed data on the combustion conditions at the burner, measurements were made on a separate ...

International Nuclear Information System (INIS)

Brain glucose metabolism was evaluated in four patients with acquired immunodeficiency syndrome (AIDS) dementia complex using ["1"8F]fluorodeoxyglucose (FDG) and positron emission tomography (PET) scans at the beginning of therapy with 3'-azido-2',3'-dideoxythymidine (AZT, zidovudine), and later in the course of therapy. In two patients, baseline, large focal cortical abnormalities of glucose utilization were reversed during the course of therapy. In the other two patients, the initial PET study did not reveal pronounced focal alterations, while the post-treatment scans showed markedly increased cortical glucose metabolism. The improved cortical glucose utilization was accompanied in all patients by immunologic and neurologic improvement. PET-FDG studies can detect cortical metabolic abnormalities associated with AIDS dementia complex, and may be used to monitor the metabolic improvement in response to AZT treatment.

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We report a patient who developed occlusion of the intracranial major arteries induced by radiation therapy for craniopharyngioma. The patient, a 9-year-old boy, presented with deterioration of vision, nausea and vomiting. He underwent a right ventriculo-peritoneal shunt operation, and the tumor was partially removed. Postoperatively, he received focal radiation therapy with total of 60 Gy. Preoperative cerebral angiography, cerebral vessels had no sigh of occlusive lesion or stenosis. One year after irradiation, he started to have repeated cerebral ischemic attacks. But no regrowth of the tumor was detected on CT scans. Two years and 8 months after irradiation, he suddenly had right hemiparesis. Cerebral angiography revealed severe stenosis of the right anterior cerebral artery (precommunicating segment), middle cerebral artery (horizontal portion) and terminal portion of the right carotid artery. Left carotid angiography showed complete ...

International Nuclear Information System (INIS)

Between 1984 and 1988, seven women with breast cancer were treated with intraoperative electron beam therapy (IOEBT). All patients were Caucasian. Patient age ranged from 37 to 62 (median 53) years. Histopathology was infiltrating duct carcinoma (6/7) or medullary carcinoma (1/7). Four tumors were staged T1 N0 MO, one T1 N1 MO, one T2 N1 MO, and one lesion was recurrent. At the time of primary lumpectomy or axillary node dissection, a dose of 10 or 15 Gy IOEBT was administered to the tumor bed with 6 or 9 MeV electrons through the lumpectomy wound. All patients received 45 or 50 Gy over five to six weeks with 6 MV photons to the breast and, in four patients, to the regional nodes. Three patients received adjuvant chemotherapy and tamoxifen. No post-operative complications were observed. All patients are alive as of August, 1989, with no evidence of recurrent disease. Excellent cosmesis is the rule. Clinical and technical aspects of treatment are presented along ...

British Library Electronic Table of Contents (United Kingdom)

ZusammenfassungUbelkeit und Erbrechen stellen zwei Symptome dar, die grundlich untersucht worden sind und bei Krebspatienten haufig auftreten. Die meisten Studien haben sich bislang mit Haufigkeit und Management dieser beiden Symptome befasst. Das Ziel dieser Studie bestand darin, ein besseres Verstandnis dafur zu entwickeln, wie Krebspatienten ihre Symptome erleben-insbesondere Ubelkeit und Erbrechen nach Chemotherapie-und welche Auswirkungen diese Symptome auf den Tagesablauf der Patienten haben. Neun Frauen mit unterschiedlichen Krebsleiden und Chemotherapie Regimes wurden zwecks Chemotherapie stationar aufgenommen und nahmen an der Studie teil. Es wurden halbstrukturierte Interviews einschliesslich einer Inhaltsanalyse in Anlehnung an Kvale durchgefuhrt (Klarung und Entwicklung neuer B...

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Elektrochemische Potentialmessungen (auch Potentialfeldmessungen) haben sich seit Jahren bewahrt, Bereiche mit aktiver chloridinduzierter Korrosion an tausalzexponierten Bauwerken, wie z. B. Bruckentafeln sowie Zwischendecks und Bodenplatten von Parkhausern und Tiefgaragen nachzuweisen. Bereits 1990 erschien die erste Fassung des Merkblatts B3 der DGZfP. Das DAfStb Heft 422 (1991) - Prufung von Beton Empfehlungen und Hinweise zu DIN 1048 - enthielt die Potentialfeldmessung bzw. das Merkblatt B3 im Anhang. In Deutschland liegen somit zwei Jahrzehnte Erfahrungen mit den entsprechenden Regelwerken und naturlich auch in der praktischen Anwendung vor. In der Praxis zeigte sich jedoch auch, dass die Anwendung verbessert werden muss. Die Potentialmessung wurde vielfach sogar falsch durchgefuhrt, ...

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Zusammenfassung Die Festigkeitshypothesen und Flie?fl?chen aus den klassischen Kursen der Mechanik (die Normalspannungshypothese, die Modelle nach von Mises und Tresca) reichen oft nicht aus, das tats?chliche Verhalten von Bauteilen unter Belastung zu erfassen. Deshalb werden in der Literatur weitere Modelle mit einem oder mehreren Parametern vorgeschlagen. Diese Modelle beschr?nken allerdings die Geometrien der zul?ssigen Formen der Fl?chen im Spannungsraum. In dieser Arbeit wird ein auf die Zugspannung normiertes Druck-Torsion-Diagramm vorgestellt, in dem sich die Modelle inkompressiblen Materialverhaltens miteinander vergleichen lassen. Mit diesem Diagramm wird der Begriff der Symmetrie der Fl?che in der ?-Ebene verdeutlicht. Die konvexen Fl?chen inkompressiblen Materialverhaltens sind ...

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This is the first interdisciplinary approach to urban water and waste water managment. The author presents the knowledge acquired during the project. [German] Die ganzheitliche Betrachtung der Wasserwirtschaft in urbanen Gebieten ist sowohl in der Forschung als auch in der Praxis neu. Zwischen der Bearbeitung eines Forschungsprojektes und eines Ingenieurprojektes gibt es grundsaetzliche Differenzen, trotzdem sind wir der Meinung, dass es bezueglich der interdisziplinaeren Aspekte und der ganzheitlichen Betrachtung der Wasserwirtschaft sowohl in der Forschung als auch in der Praxis aehnliche Probleme gibt. Aus diesem Grunde wird in dieser Arbeit versucht ueber einige Erfahrungen aus dem interdisziplinaeren und ganzheitlichen Forschungsprojekt zu berichten. (orig.)

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The further optimisation and improvement of the efficiency of internal combustion engines require the realisation of new technologies leading to a distinctively faster warm-up behaviour of the coolant and lubricants as well as of the engine components after a cold start. In order to achieve reduced fuel consumption and exhaust gas emissions with the help of heat management, the design criteria of innovative cooling systems need to be reflected and adapted to future requirements. The use of intelligent components within the cooling system, such as the 'Stand Alone Rotary Valve' as a thermostat's substitute or the use of coolant pumps with a rotary valve integrated into the pump's inlet chamber, offer new ways to realise in a decisively quicker and more flexible way the appropriate heating up and cooling down procedures at varying driving conditions. A description of both of the intelligent components for the cooling system is given in this paper. The ...

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Only two types of 110-kV-cables: Namely XLPE-Cables and External-Gas-Pressure-Cables will be reinstalled in the Federal Republic of Germany. XLPE-Cables have been already developed for higher voltages. An idea how the external-gas-pressure-cable could be made fit for higher voltage levels will be given in this paper. (orig.) [Deutsch] In der Bundesrepublik Deutschland werden in der Zukunft nur noch zwei Kabeltypen der 110-kV-Ebene den Kabelmarkt beherrschen, naemlich: VPE-Kabel und Gasaussendruck-Kabel. Waehrend VPE-Kabel auch fuer hoehere Spannungsebenen bereits entwickelt worden sind, wird im folgenden vorgeschlagen, wie auch das Prinzip der Gasaussendruck-Kabel zu hoeheren Spannungen hin erweitert werden kann. (orig.)

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The early diagnosis of such disorders is of major importance because, in most cases, severe consequences can only be averted by early treatment. The value of magnetic resonance imaging (MRI) in many orthopaedic and traumatological conditions is generally accepted. The value of MRI in this particular field is illustrated by typical case reports on common clinical problems [Deutsch] Der Fruehdiagnose von Erkrankungen des Kindes- und Jugendalters kommt grosse Bedeutung zu, da oftmals nur durch eine daraus resultierende Fruehbehandlung schwerwiegende Folgen vermieden werden koennen. Die Kernspintomographie (Magnetresonanztomographie=MRT) ist in zahlreichen orthopaedischen-traumatologischen Fragestellungen bereits etabliert. An ausgewaehlten Fallbeispielen haeufiger klinischer Problemstellungen soll in der vorliegenden Arbeit der Stellenwert der MRT dargestellt werden. (orig.)

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ZusammenfassungDie Botulinumtoxinbehandlung ist eine etablierte Methode in der Behandlung von spasmodischen Dysphonien. Prinzipiell kann eine Behandlung transkutan zervikal, transoral mit einer gebogenen Spritze unter visueller Kontrolle w?hrend der Laryngoskopie sowie mittels flexibler Endoskope bzw. Videoendoskope mit Arbeitskanal erfolgen. Insbesondere die transkutane Injektion unter Larynx-EMG-Kontrolle (LEMG) ist ein verh?ltnism??ig einfaches Verfahren. Aufgrund der visuellen Kontrolle bei transoral oder flexibel transnasal verabreichtem Botulinumtoxin scheint eine bessere Wirksamkeit zu bestehen. Aus verschiedenen Gr?nden kann dieses Verfahren aber nicht bei allen Patienten verwendet werden. Wir berichten ?ber unsere Erfahrungen mit den verschiedenen Techniken und unsere Erw?gungen i...

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CT and MRI of acquired abnormalities of the inner ear and cerebello-pontine angle present themselves with very typical findings. The imaging should be adapted to the pathology looked for and either CT or MRI should be used alone or in combination.CT, especially high resolution CT (HRCT), provides an excellent bone contrast, while MRI has a much superior soft tissue contrast. Acute inflammatory changes of the inner ear are solely depicted by contrast-enhanced MRI. HRCT excellently depicts osseous changes of the inner ear and cerebellopontine angle such as chronic ossifying labyrinthitis occurring after acute labyrinthitis, otosclerotic or traumatic changes. Tumorous changes not yielding to bony changes are best delineated by MRI. Posttraumatic hemorrhage and chronic fibrotic changes within the labyrinth are depicted by MRI, only. In conclusion HRCT and MRI are excellent methods to delineate acquired abnormalities of the inner ear and cerebello-pontine angle. HRCT best depicts osseous ...

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Trapezblechstege im Bruckenbau kommen trotz der groen Vorteile, die diese Bauweise bietet, in Deutschland bisher nur an einem Pilotprojekt zur Anwendung. Durch die charakteristischen Eigenschaften des Trapezbleches entstehen konstruktive und wirtschaftliche Vorteile gegenuber herkommlichen Bruckenbauweisen. Allerdings lassen die aktuell gultigen Regelwerke aufgrund fehlender Kenntnis zum Tragverhalten und mangelnder Erfahrung keine wirtschaftliche Ausbildung zu. Dies zeigt sich am Beispiel des Pilotprojekts. Die Ausbildung der Verbundfuge wurde hier nur sehr unbefriedigend gelost und verdeutlicht somit die Notwendigkeit einfacher und praktikabler Verbindungsmoglichkeiten. Am Institut fur Leichtbau Entwerfen und Konstruieren der Universitat Stuttgart wurde in Zusammenarbeit mit dem Institut...

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Background: Recent series describing the clinical presentation, response to therapy, and long-term outcome of Zollinger-Ellison syndrome are limited. Aims: To assess the clinical characteristics and long-term outcome of patients with Zollinger-Ellison syndrome. Methods: Over a 20-year period, patients with Zollinger-Ellison syndrome were enrolled in a prospective trial evaluating the efficacy of lansoprazole. Following dose stabilization, patients were followed on a 6-monthly basis with interval history, physical examination, endoscopy with gastric biopsies, gastric acid analysis and laboratory studies. Results: 72 patients (mean age 54+/-12 years, % male 58%, % Caucasian 69%) were prospectively enrolled. The clinical presentation was stereotypical for Zollinger-Ellison syndrome. Symptoms ...

CERN Document Server

This book examines the applications of Monte Carlo (MC) calculations in therapeutic nuclear medicine, from basic principles to computer implementations of software packages and their applications in radiation dosimetry and treatment planning. It is written for nuclear medicine physicists and physicians as well as radiation oncologists, and can serve as a supplementary text for medical imaging, radiation dosimetry and nuclear engineering graduate courses in science, medical and engineering faculties. With chapters is written by recognised authorities in that particular field, the book covers the entire range of MC applications in therapeutic medical and health physics, from its use in imaging prior to therapy to dose distribution modelling targeted radiotherapy. The contributions discuss the fundamental concepts of radiation dosimetry, radiobiological aspects of targeted radionuclide therapy and the various components and steps required for ...